Robyera Revoal

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05591100 Issued in NJ

Practice address

63 Albemarle Ave
Ewing, NJ 08638-3501

Phone

(732) 718-5214

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stable Community Services

  • Community/Behavioral Health Agency
  • Burlington City, NJ
  • NPI 1568885663
  NPD
• Stable Community Services

  • Multi-Specialty Clinic/Center
  • Burlington City, NJ
  • NPI 1861851594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1194104844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ALBEMARLE AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383501",
            "telephone_number": "732-718-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ALBEMARLE AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383501",
            "telephone_number": "732-718-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOAL",
        "first_name": "ROBYERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00217000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05591100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regal Group Homes
• Rem New Jersey, Inc.
• Rem New Jersey, Inc.
• Reprieve Recovery Center LLC
• Resilience Medical, PC (Resilience Lab)
• Aracely Reyes, M.A, L.S,W
• Johanny Reyes, OBAT NAVIGATOR
• RGS Operating LLC (Elite Caring)
• Kelly M Rice, MSW, LCSW
• Richard L Stoneking, PT, PA

• Clinical Social Worker in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.